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General NPI Number Information
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NPI Number | 1467869719
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Entity Type | Organization
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Legal Business Name | KRISTEN GRAFF, LCSW, LLC
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 117 FOCIS ST SUITES 202 AND 203
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City | METAIRIE
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State | LA
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Zip | 70005-3474
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Country | US
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Telephone | 504-701-5709
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Fax | 504-833-0690
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Provider Business Mailing Address
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Address Line | 846 HELIOS AVE
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City | METAIRIE
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State | LA
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Zip | 70005-2038
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Country | US
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Telephone | 504-701-5709
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Fax | 504-833-0690
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Authorized Official
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Title or Position | OWNER
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Name | MS. KRISTEN ELIZABETH GRAFF
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Credential | LCSW
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Telephone | 504-701-5709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10324
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License Number State | LA
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